Patellofemoral Pain, Chondrosis, and Arthritis: A 23-Year-Old with Patellofemoral Pain and Maltorsion of the Lower Limbs: The Place of Torsional Osteotomies

2021 ◽  
pp. 165-175
Author(s):  
Magaly Iñiguez C ◽  
Phillippe Neyret ◽  
Sheanna Maine ◽  
Shital N. Parikh
Keyword(s):  
Patellofemoral Pain ◽  
Lower Limbs

Association between patellofemoral pain syndrome and hip morphology.

2015 ◽  
Vol 13 ◽  
pp. 291
Author(s):  
Hugo Machado Sanchez ◽  
Eliane Gouveia de Morais Sanchez ◽  
Savana Brandão Nascimento
Keyword(s):  
Morphological Changes ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Lower Limbs ◽  
Control Group ◽  
Hip Morphology ◽  
Prevalence Of Pain ◽  
Unclear Etiology ◽  
And Control

Background: Patellofemoral pain syndrome (PFPS) is one of the most common conditions in the knee joint, there still unclear etiology. Objective: The objective of this study was to investigate the association of PFPS with the morphology of the hip. Method/Design: For this study were evaluated 41 university students aged between 18 and 30 years divided into group with PFPS and control group, in which we analyzed the distance from the anterior superior iliac spine (ASIS), length of the lower limbs (LL) away from the patella ASIS bilaterally, lateral bending and iliac slope. Results: After data collection and subsequent tabulation, it was found that the group with PFPS showed contralateral iliac increase the pain (p = 0.01), moreover, was also found to the side of prevalence of pain is the side not dominant (p = 0.00). Conclusions: It can be inferred that there is little relationship between the morphological changes of the hip with the PFPS, as only found a side tilt of the pelvis in volunteer group that reported a previous knee pain.

scholarly journals The Effect of Isometric and Isotonic Exercises of Lower Limbs Extensor Sling on Static and Dynamic Balance in Basketball Players with Patellofemoral Pain

Health ◽  
2017 ◽  
Vol 09 (10) ◽  
pp. 1355-1366
Author(s):  
Seyedehzahra Salamifar ◽  
Mohammad Hossein Nasermeli ◽  
Behnaz Ganji Namin
Keyword(s):  
Dynamic Balance ◽  
Patellofemoral Pain ◽  
Lower Limbs ◽  
Basketball Players

scholarly journals Effects of neuromuscular training and strengthening of trunk and lower limbs muscles in women with Patellofemoral Pain: A protocol of randomized controlled clinical trial, blinded

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Natália Camin Silva ◽  
Matheus de Castro Silva ◽  
Morisa Garcia Guimarães ◽  
Manoela Beatriz de Oliveira Nascimento ◽  
Lilian Ramiro Felicio
Keyword(s):  
Clinical Trial ◽  
Lower Limb ◽  
Randomised Clinical Trial ◽  
Pain Scale ◽  
Patellofemoral Pain ◽  
Lower Limbs ◽  
Neuromuscular Training ◽  
Controlled Clinical Trial ◽  
Intervention Protocol ◽  
Strengthening Exercises

Abstract Background Patellofemoral pain (PFP) often affects young women, and the etiology is multifactorial and poorly understood. Conservative intervention has been focused on risk factors or aggravating factors and is composed of hip- and knee-strengthening exercises, as this population often has muscle weakness and poor motor control during daily and sports activities. The objective of this study was to evaluate the additional effects of neuromuscular training in a conservative treatment of trunk-, hip-, and knee-muscle strengthening on pain, function, and kinematics of the trunk, pelvis, and lower limb in women with PFP. Methods This is a randomised clinical trial, controlled, blinded. Ninety women who are active and engage in physical activity up to twice a week will be recruited. All participants will undergo an individual physiotherapy assessment and then will be allocated randomly into two groups. Thereafter, both groups will undergo a 12-week intervention protocol: group 1 will perform strengthening exercises for the trunk, hip, and knee muscles, while group 2 will receive the same treatment, with the inclusion of neuromuscular training exercises on the fourth week. At the end of the intervention, the volunteers will be evaluated. The primary outcomes will be pain intensity (using a Visual Analog Scale: over the last month, squat 90°, and step of 26 cm during 1 min), functional capacity (Anterior Knee Pain Scale and Activities of Daily Living Scale), and 2D kinematics of the trunk, pelvis, and lower limb during the single-leg squat. The secondary outcomes correspond to the isometric muscular strength of the lower limb and the level of satisfaction from the intervention. Discussion The present study was initiated on 28 January 2018 and is currently in progress, scheduled for completion in July 2019. The results of this study should contribute to the physiotherapeutic treatment of women with PFP by aggregating information on the benefits of adding neuromuscular training to strengthening of the trunk and lower-limb muscles. Trial registration Registro Brasileiro de Ensaios Clínicos, ID: RBR-8c7267. Registered on 2 August 2017.

scholarly journals Diagnosis of Patellofemoral Pain Syndrome Based on a Multi-Input Convolutional Neural Network With Data Augmentation

2021 ◽  
Vol 9 ◽  
Author(s):  
Wuxiang Shi ◽  
Yurong Li ◽  
Baoping Xiong ◽  
Min Du
Keyword(s):  
Neural Network ◽  
Convolutional Neural Network ◽  
Network Model ◽  
Neural Network Model ◽  
Pain Syndrome ◽  
Data Preprocessing ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Diagnostic Methods ◽  
Lower Limbs

Patellofemoral pain syndrome (PFPS) is a common disease of the knee. Despite its high incidence rate, its specific cause remains unclear. The artificial neural network model can be used for computer-aided diagnosis. Traditional diagnostic methods usually only consider a single factor. However, PFPS involves different biomechanical characteristics of the lower limbs. Thus, multiple biomechanical characteristics must be considered in the neural network model. The data distribution between different characteristic dimensions is different. Thus, preprocessing is necessary to make the different characteristic dimensions comparable. However, a general rule to follow in the selection of biomechanical data preprocessing methods is lacking, and different preprocessing methods have their own advantages and disadvantages. Therefore, this paper proposes a multi-input convolutional neural network (MI-CNN) method that uses two input channels to mine the information of lower limb biomechanical data from two mainstream data preprocessing methods (standardization and normalization) to diagnose PFPS. Data were augmented by horizontally flipping the multi-dimensional time-series signal to prevent network overfitting and improve model accuracy. The proposed method was tested on the walking and running datasets of 41 subjects (26 patients with PFPS and 15 pain-free controls). Three joint angles of the lower limbs and surface electromyography signals of seven muscles around the knee joint were used as input. MI-CNN was used to automatically extract features to classify patients with PFPS and pain-free controls. Compared with the traditional single-input convolutional neural network (SI-CNN) model and previous methods, the proposed MI-CNN method achieved a higher detection sensitivity of 97.6%, a specificity of 76.0%, and an accuracy of 89.0% on the running dataset. The accuracy of SI-CNN in the running dataset was about 82.5%. The results prove that combining the appropriate neural network model and biomechanical analysis can establish an accurate, convenient, and real-time auxiliary diagnosis system for PFPS to prevent misdiagnosis.

Mid-aortic syndrome: computed tomography angiography depicting extensive collateral circulation in an 11-year-old patient with thoracoabdominal aortic coarctation

VASA ◽  
2012 ◽  
Vol 41 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Krohn ◽  
Gebauer ◽  
Hübler ◽  
Beck
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Angiography ◽  
Collateral Circulation ◽  
Intestinal Ischemia ◽  
Clinical Presentation ◽  
Lower Limbs ◽  
Upper Body ◽  
Descending Aorta ◽  
Before And After ◽  
Blood Pressures

The mid-aortic syndrome is an uncommon clinical condition characterized by severe narrowing of the descending aorta, usually with involvement of its renal and visceral branches, presenting with uncontrollably elevated blood pressures of the upper body, renal and cardiac failure, intestinal ischemia, encephalopathy symptoms and claudication of the lower limbs, although clinical presentation is variable. In this article we report the case of an eleven-year-old patient with the initial diagnosis of a mid-aortic syndrome and present the computed tomography angiography pictures and reconstructions before and after surgical therapy.

Comparison of standardised lymphoscintigraphic function test and high resolution sonography of the lymphoedema of legs

Phlebologie ◽  
2008 ◽  
Vol 37 (05) ◽  
pp. 247-252 ◽  
Author(s):  
V. S. Brauer ◽  
W. J. Brauer
Keyword(s):  
Lower Leg ◽  
Clinical Findings ◽  
Lower Limbs ◽  
Fatty Tissue ◽  
Qualitative And Quantitative ◽  
Function Test ◽  
Unreliable Method ◽  
Negative Conclusion ◽  
Fine Disperse

SummaryPurpose: Comparison of qualitative and quantitative sonography with the lymphoscintigraphic function test and clinical findings in legs. Patients, methods: In 33 patients a lymphoscintigraphic function test of legs combined with measurement of lymph node uptake was performed and subsequently compared with sonography. Sonographic criteria were: Thickness of cutis, thickness of subcutanean fatty tissue and presence of liquid structures or fine disperse tissue structure of lower limbs, foots and toes. Results: In 51 legs uptake values lie in the pathologic area, in four legs in the grey area and in ten legs in the normal area. The cutis thickness in the lower leg shows no significant correlation with the uptake. The determination of the thickness of the subcutanean fatty tissue of the lower leg and of the cutis thickness of the feet turned out to be an unreliable method. In 47% of the medial lower legs and in 57% of the lateral lower legs with clinical lymphoedema sonography is falsely negative. Conclusion: Early lymphoedema is only detectable with the lymphoscintigraphic function test. In the case of clinical lymphoedema clinical examination is more reliable than sonography.

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